An HIV-positive child has low titers after a measles vaccination. She has now been exposed to the disease. Which action by the nurse is most appropriate?
A.
Administer prophylactic antibiotics.
B.
Place the child in protective isolation.
C.
Prepare to administer immunoglobulin.
D.
Repeat the vaccination as soon as possible.
ANS: C
When the immune-compromised child does not show an appropriate response to a vaccination, she should be treated with immunoglobulin if exposed. Repeating the vaccination will not help if the child's immune system cannot mount a response. Antibiotics are not used to treat measles. Protective isolation is not warranted.
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A patient has a condition resulting in malfunction of the proximal tubules of nephrons. What would the nurse expect to find?
A) All urine values within normal limits B) Low levels of electrolytes in urine C) Reduction of drug clearance rates D) Decrease in urine urea levels
A nurse manager discovers that the actual number of visits per patient in a home health service is 3.8 visits per day when the standard is 5 visits per day. Based on this information, the nurse manager:
a. Concludes that the complexity of care in each visit has arisen. b. Concludes that patient volume has been decreased. c. Decides that more information is needed before a conclusion can be reached. d. Initiates a training session regarding the importance of ensuring that visits are made.
The health care team is involved in a situation in which there are two equally undesirable options. One of these options must be chosen and applied to the situation. What term describes this situation?
1. Ethical challenge 2. Ethical dilemma 3. Ethical paradox 4. Ethical contradiction
Which statement made by a mother is consistent with a developmental delay?
a. "I have noticed that my 9-month-old infant responds consistently to the sound of his name." b. "I have noticed that my 12-month-old child does not get herself to a sitting position or pull to stand." c. "I am so happy when my 1 1/2-month-old infant smiles at me." d. "My 5-month-old infant is not rolling over in both directions yet."